16510 Occlusal Adjustment/Equilibration:

10000

PREVENTION

16500

OCCLUSION

16510 Occlusal Adjustment/Equilibration:
Additional Information: Add'l Info:

(a) May require several sessions
(b) May be used in conjunction with basic restorative treatment only when occlusal
adjustment/equilibration is not required as a result of that restoration.
(c) Not to be used in conjunction with the delivery and post-insertion care of: fixed or removable
prosthesis (50000 & 60000 code series) by the same dentist for period of three months.

16511

One unit of time

91.34 91.34
16512

Two units

182.7 182.7
16513

Three units

274.06 274.06
16514

Four units

365.4 365.4
16519

Each additional unit over four

91.34 91.34
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